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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON BD DISCARDIT¿ SYRINGE; PISTON SYRINGE

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BECTON DICKINSON BD DISCARDIT¿ SYRINGE; PISTON SYRINGE Back to Search Results
Catalog Number 302438
Device Problems Leak/Splash (1354); Tear, Rip or Hole in Device Packaging (2385)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 06/20/2022
Event Type  malfunction  
Event Description
It was reported that 331 bd discardit¿ syringes from lot: 1184817, and 37 syringes from lot: 1313818 has issues with blister leakage.This complaint was created to capture the 3rd of 4 related incidents.The following information was provided by the initial reporter: "rejection details for 2ml syringes * 25g x 1¿ needle ¿ quantity 43,935 pcs , product code#: 302438".
 
Manufacturer Narrative
The manufacturing location for this product is (b)(4), india.This site is not registered with the fda.Therefore, bd corporate headquarters in (b)(4) has been listed in manufacturer name, city and state and mfr site and the (b)(4) fda registration number has been used for the manufacture report number.There were multiple lot numbers reported to be involved.The information for each lot number is as follows: medical device lot #: 1184817, medical device expiration date: 30-jun-2026, device manufacture date: 03-jul-2021, medical device lot #: 1313818, medical device expiration date: 31-oct-2026, device manufacture date: 09-nov-2021.Investigation summary: there are no samples and 17 photograph along with the reported complaint of multiple defects.The investigating team has used the retention samples of material number: 302438 and lot number: 1184817, 1313818 for investigating the reported defect.The investigation and simulation were carried out on ten retention samples where the investigating team has visually tested the samples for multiple defects and no multiple defects was found in the ten retention samples.The following actions are work in progress: blister damage- for blister damage chain issue was identified and leading to laminate holding thus causing cutting issues.Chain replaced and frequency set to replace chain after every three years.All the actions above will be monitored for effectiveness check for the period of 6 months and reviewed by the oqc team in the weekly oqc meeting.Complaints received for this device and reported condition will continue to be tracked and trended.If samples are received in the future the complaint will be reopened for further investigation.
 
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Brand Name
BD DISCARDIT¿ SYRINGE
Type of Device
PISTON SYRINGE
Manufacturer (Section D)
BECTON DICKINSON
1 becton drive
franklin lakes NJ 07417
Manufacturer (Section G)
BECTON DICKINSON
1 becton drive
franklin lakes NJ 07417
Manufacturer Contact
phillip emmert
9450 south state street
sandy, UT 84070
8015296192
MDR Report Key15249197
MDR Text Key305417919
Report Number2243072-2022-01367
Device Sequence Number1
Product Code FMF
Combination Product (y/n)N
Reporter Country CodeIN
PMA/PMN Number
NA
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Foreign,Distributor
Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date 08/17/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Catalogue Number302438
Device Lot NumberSEE H10
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 07/19/2022
Initial Date FDA Received08/18/2022
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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